Device for positioning a patient interface

ABSTRACT

Disclosed is a supporting device for a patient interface on the forehead of the patient. The supporting device has an adjustment by means of a self-acting, incorporated spring element and, depending on the tightening force of the harness, the forehead pad presses onto the forehead of the user as a result of the spring force and thus provides the patient interface at a spacing which is suitable for the patient and provides optimum, fault-free adaptation.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present application claims priority under 35 U.S.C. § 119 of GermanPatent Application No. 10 2012 022 355.2, filed Nov. 15, 2012, theentire disclosure of which is expressly incorporated by referenceherein.

BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates to a device for positioning a patientinterface on the head of the user.

2. Discussion of Background Information

Patient interfaces serve the purpose of delivering respiratory gasprovided by the ventilation device to the patients. Patient interfacescan be realized in different embodiments, for example as nasal orfull-face masks. The patient interface is typically connected to theventilation device by means of a respiratory gas hose and is fixed onthe head of the user.

Since the patient interface has to be worn hour after hour or nightafter night by the patient, high demands are made on the wearingcomfort.

Along with the precise fit of the patient interface, the fastening andfixing on the head of the user is important in order to avoid unpleasantpressure points and perviousness or leakages.

To ensure secure positioning of the patient interface in the region ofthe face of a patient, and to reduce the forces which act on the face,patient interfaces are used with forehead supports. These types offorehead supports are often too complicated, however, for the patientand in the majority of cases cannot be adjusted without time and effort.

The forehead supports available to date on the market are frequentlyprovided with complicated adjusting devices and are sometimes notself-explanatory. After removal—which is necessary to clean the maskthereof—the user has to note the latching position of the foreheadsupport and has to re-adjust it time after time.

It would be advantageous to have available an adjusting device for apatient interface which enables simple positioning of the patientinterface and improves the wearing comfort of the patient interface.

SUMMARY OF THE INVENTION

The present provides generally an adjusting device for a patientinterface which allows precise, simple positioning on the face of apatient.

The present invention provides an adjusting device for a patientinterface that is fixed on the head of the patient by means of a headharness. The device comprises a support body and at least one springelement. The patient interface has at least one harness receivingelement and the tightening force of the head harness is transmitted ontothe spring element by the harness receiving element such that the springelement is compressed.

In one aspect of the device, the support body may engage at least inpart in a horizontal receiving element of the mask body.

In another aspect, a receiving element for the spring element may bearranged in the region of the receiving element and/or in the supportbody.

In yet another aspect of the device, the spring element, in the mountedstate, may be introduced in part into the receiving element and in partinto the guide and may consequently be covered over its entire length.

In a still further aspect, the guide may comprise lugs on its outside,which lugs may be arranged in a resilient manner on webs, and, when thesupport body is mounted, may engage with the lugs into the receivingregion of the horizontal receiving element, and may latch there.

In another aspect, the guide elements, which engage in correspondingguide grooves inside the receiving element, may be situated on theoutside of the spring receiving element for non-rotatable mounting.

In another aspect of the device of the present invention, thecylindrical receiving element may have an abutment face for the springelement on the end and the spring excursion may be defined by saidabutment face and by the length of the receiving regions.

In another aspect, the spring element may be inserted at least in partinto the opening of the forehead support receiving element and the facemay lie in the undercut and may thus be held in the opening of theforehead support receiving element.

In another aspect, the cylindrical guide of the support body may beguided by the spring element and may be latched by way of the lugs inthe receiving regions of the forehead support receiving element.

In another aspect, the spring element may abut against the abutment facein the support body and the spring excursion may be defined by theabutment face and by the chosen length of the receiving regions.

In another aspect, the spring element may comprise struts which arearranged in an X-shaped manner.

In another aspect, the spring element constant of the spring element maybe in the range of from 0.1 to 2.0 N/mm, e.g., in the range of from 0.1to 1.0 N/mm.

In another aspect, the characteristic curve of the spring element may beapproximately linear and/or may have multiple stages as a result of theuse of different elastomer materials and/or may have multiple stages asa result of the use of different geometries or geometric recesses (alongthe axis or transversely with respect to the axis) inside the springelement.

In another aspect of the device, the spring element may provide a springexcursion within the range of from 5 mm to 30 mm, e.g., from 7 mm to 20mm.

In another aspect, the spring element may not be surrounded by the guideelements in a part region and may thus be accessible for cleaning.

In another aspect, the spring element may have an axis in the directionof which the spring may be compressed and/or the axis of the spring maybe oriented substantially at right angles with respect to the foreheadof the user.

In another aspect of the device, the spring element may have a firstpart region with a first characteristic (for example geometry orelasticity) at right angles with respect to the axis and a second partregion with a second characteristic at right angles with respect to thefirst part region and with respect to the axis. The first characteristicmay be different from the second characteristic.

In another aspect, the spring element may have a first part region and asecond part region which are located opposite one another, the firstpart region having a greater degree of rigidity than the second partregion.

In another aspect, a part region may have a greater degree of rigidityas a result of geometric structures (such as for example ribbing, anopen or closed contour).

In another aspect, a part region may have a greater degree of rigidityas a result of different materials (which are joined using thetwo-component method and, for example, have different Shore hardnesseswithin the range of from A 20 to 80) and/or a may have a greater degreeof rigidity as a result of different wall thicknesses.

The present invention also provides an adjusting device for a patientinterface that is fixed on the head of the patient by means of a headharness. The device comprises a support body and at least one springelement, which spring element has an axis in the direction of which thespring element is compressed, and which spring element comprises a firstpart region with a first characteristic at right angles to the axis and,in a different location to the first part region, a second part regionwith a second characteristic.

The present invention also provides to an adjusting device for a patientinterface that is fixed on the head of the patient by means of a headharness. The device comprises a support body and at least one springelement, the spring element constant of the spring element being in therange of from 0.1 to 2.0 N/mm.

The present invention also provides an adjusting device for a patientinterface that is fixed on the head of the patient by means of a headharness. The device comprises a support body and at least one springelement, which spring element provides a spring excursion within theregion of from 5 mm to 30 mm.

The present invention also provides a spring element for a patientinterface. The spring element has an axis, and comprises a first partregion with a first characteristic at right angles with respect to theaxis and, in a different location to the first part region, a secondpart region with a second characteristic.

The invention further provides an adjusting device for a patientinterface that is fixed on the head of the patient by means of a headharness. The device comprises a support body and a receiving element forthe support body. A spring element is arranged between the support bodyand the receiving element, and harness receiving elements transmit thetightening force of the head harness at least in part onto the springelement.

In one aspect of the device, the spring element may enable steplessadjustment.

In another aspect, the spring element may provide a spring excursionwithin the range of from 7 mm to 20 mm, e.g., from 7 mm to 17 mm.

In yet another aspect, the support body may engage at least in part inthe horizontal receiving element of the mask body.

In a still further aspect of the device, the support body may reach atleast in part over the horizontal receiving element of the mask body.

In another aspect, the restoring force of the spring element and therestoring force of the forehead support pad may be designed in such amanner that, when the harness is tightened, first of all the foreheadsupport pad adapts to the form of the forehead of the user and only thenis the spring element compressed.

In another aspect, the spring element may be fixed in the region of thereceiving element.

In another aspect, the spring element may be fixed in the support bodyin the region of the cylindrical guide.

In another aspect, the spring element in the mounted state may beintroduced in part into the receiving element and in part into thecylindrical guide and may consequently be completely covered.

In another aspect, the spring element in the mounted state may beintroduced in part into the receiving element and in part into thecylindrical guide and may consequently be covered in part.

In another aspect, the cylindrical guide may be introduced at least inpart into the receiving element and may be fixed there so as to bereleasable.

In another aspect of the device, the cylindrical guide may have lugs onthe outside, which lugs are arranged in a resilient manner on webs, and,when the support body is mounted, may engage with the lugs in thereceiving regions of the cylindrical horizontal receiving element andmay lightly latch there.

In another aspect, the guide elements which engage in correspondingguide grooves inside the receiving element and are guided there, may besituated on the outside of the cylindrical spring receiving element fornon-rotatable mounting.

In another aspect, the cylindrical receiving element may have anabutment face for the spring element on the end and the spring excursionmay be defined by said abutment face and by the length of the receivingregions.

In another aspect of the above device, the spring element may beinserted at least in part into the opening of the forehead supportreceiving element and the face may lie in the undercut and may thus beheld in the opening of the forehead support receiving element.

In another aspect, the cylindrical guide of the support body may beguided by means of the spring element and may latch with the lugs in thereceiving regions of the forehead support receiving element.

In another embodiment, the spring element may abut against the abutmentface in the support body and the spring excursion may be defined by theabutment face and by the chosen length of the receiving regions.

In another aspect, the elastomer spring may obtain its function as acompression spring as a result of the X-shaped arrangement of the strutsand the selection of the material.

In another aspect, the spring element constant may be from 0.1 to 2.0N/mm, in a preferred manner from 0.1 to 1.0 N/mm, in a particularlypreferred manner from 0.1 to 0.8 N/mm or even in the range of from 0.1to 0.5 N/mm.

Depending on the tightening force of the harness of the head harness orof the head cap and on the shape of the face of the user or of theforehead of the user, the spring element inside the forehead support iscompressed more or less tightly and presses the forehead pad onto theforehead of the user and thus always provides the patient interface atthe spacing that is suitable for the patient.

BRIEF DESCRIPTION OF THE DRAWINGS

The following Figures show non-limiting exemplary embodiments of apatient interface having a support body of the type set forth at theoutset. In particular, the Figures show:

FIG. 1: Patient interface

FIG. 1 a: Patient interface with harness

FIG. 2: Exploded representation of the forehead support adjustingelement, variant 1

FIG. 3: Forehead support

FIG. 4: Mask body

FIG. 5: Elastomer spring

FIG. 6: Exploded representation of the forehead support adjustingelement, variant 2

FIG. 7: Forehead support

FIG. 8: Mask body

FIG. 9: Elastomer spring

FIG. 10: Exploded representation of the forehead support adjustingelement, variant 3

FIG. 11 Forehead support

FIG. 12 Mask body

FIG. 13 Elastomer spring element

FIG. 14 Spring element, view from the side

FIG. 14a Spring element, view from above

FIG. 15a and FIG. 15b : adjusting path and spring excursion of supportbody

DETAILED DESCRIPTION OF THE PRESENT INVENTION

The particulars shown herein are by way of example and for purposes ofillustrative discussion of the embodiments of the present invention onlyand are presented in the cause of providing what is believed to be themost useful and readily understood description of the principles andconceptual aspects of the present invention. In this regard, no attemptis made to show details of the present invention in more detail than isnecessary for the fundamental understanding of the present invention,the description in combination with the drawings making apparent tothose of skill in the art how the several forms of the present inventionmay be embodied in practice.

FIGS. 1 and 1 a show a patient interface (1). The patient interface (PI)has a mask body (2), on which the respiratory gas hose (not shown) isconnected to the PI by means of a ball-and-socket joint (4) and a rotarysleeve (4 a). The mask body (2) has a sealing element (3) in the form ofa mask bead with a lip seal as means for sealing in relation to the faceof the patient. Fixing in the region of the head of a patient can beeffected by means of a head cap or head harness (20). The harness ends(22) of the head cap or head harness are releasably fastened on the PIon the one hand by means of a receiving element (5) in the cheek regionand on the other hand by means of receiving element (6) in the foreheadregion. For this purpose, the harness ends (22) are guided through thereceiving element (6) and are fixed on the harness by means of a Velcrofastening (21). The receiving element (6) has a slot for inserting theharness. A support body (7) with a forehead support pad (8) serves forsupporting the patient interface (1) in the region of the forehead ofthe patient. The support body (7) engages in the horizontal receivingelement (2 a) of the mask body (2).

FIG. 2 shows that the support body (7) of the forehead support has onthe side of the patient a forehead pad (8) which is produced from asilicone that is kind to the skin and can also be provided with a gelfilling. A cylindrical guide (10) (see FIG. 3) serves to receive thespring element (9, 9′). The spring element (9) is inserted into thereceiving element (10), in the bottom of which an additional opening(14) is arranged in which the spring element is held by means of amushroomed thickening (9 a) and a circumferential undercut (9 b) suchthat the spring element (9) cannot be lost when being disassembled orduring the daily cleaning of the mask. A comparable safety device can beprovided as a compression spring (9′).

Automatic adjustment/re-adjustment of the support body (7) is effectedby means of a spring element (9, 9′) located inside the support body.The spring element can also be arranged outside in all the exemplaryembodiments, for example as a forehead support pad. The spring elementcan be realized as an elastomer spring (9) (see FIGS. 5, 9, 13 and 14)produced from an elastomer such as, for example, silicone or TPE, orfrom different elastomers which are joined together or as an alternativeto this as a compression spring (9′) produced of metal, such ashigh-grade steel, or of plastics material, such as POM. A compressionspring produced of POM can be a cost-effective alternative to thecompression spring of high-grade steel.

Depending on the tightening force of the head harness, the springelement (9, 9′) is compressed inside the support body more or lesstightly and presses the forehead support pad onto the forehead of theuser and thus always provides the patient interface at the optimumspacing which is suitable for the patient. Even when the patient altershis position in sleep, the spring element (9, 9′) compensates again forthe change.

The spring force of the spring element (9, 9′) and the force of theforehead support pad (8) can be designed such that, when the harness istightened, first of all the forehead support pad (8) is adapted to theshape of the face of the user or of the forehead of the user and onlythen does the spring force of the spring element (9, 9′) become active.The spring forces of the spring element (9, 9′) and of the foreheadsupport pad (8) can also be the same. It is also possible for the springforce of the spring element (9, 9′) to be less than that of the foreheadsupport pad (8).

FIG. 3 shows that the cylindrical guide (10) has lugs (12) on theoutside which—brought about by the slot (13) in the guide (10)—arearranged on webs (12 a). The webs (12 a) are lightly resilient and, whenthe support body is mounted, engage with the lugs (12) in the receivingregions (17) of the equally cylindrical receiving means of the supportbody (2 a) and latch there. Said latching prevents the forehead supportbeing able to slip out in an unwanted manner Guide elements (11), whichengage in corresponding guide grooves (16) inside the receiving element(2 a) and are guided there, are situated on the outside of thecylindrical spring receiving element (10) for non-rotatable mounting.

FIG. 4 shows the cylindrical receiving means (2 a) which has an abutmentface (15) for the spring element (9, 9′) on the end. The springexcursion (24) is defined by the abutment face (15) and by the chosenlength of the receiving regions (17). In one exemplary embodiment, theguide (10) slides in a telescopic manner in the receiving region (17),both completely covering the spring element.

FIG. 5 shows the spring element as an elastomer spring (9). Theelastomer spring (9) obtains its function as a result of the X-shapedarrangement of the struts (9 c) and the selection of the material. Whenpressure is applied to the spring element (9), the angle in the X-shapedspring structure is altered and the spring element becomes shorter.Relief cuts (9 d) in the X-shaped struts and those between the X-shapedstruts (9 d) prevent the elastomer spring (9) from deforming underpressure. The relief cuts (9 h), triangular in this case, expose aspring space. In principle, the spring characteristic can be influencedas a result of the geometry and shape of such relief cuts (9 h).

FIG. 6 shows an exploded representation of the assembly. FIGS. 7 to 9show the corresponding individual parts. The difference to the firstvariant is the elastomer spring (9) which in said embodiment is not heldin the opening (14) in the support body (7), but is held by way of itsthickening (9 a) and an undercut (9 b) in the opening (18) of theforehead support receiving element (2 a). For assembly, the elastomerspring (9) is inserted from the front into the opening (18) of theforehead support receiving element (2 a) and is pulled until the face(15) lies in the undercut (9 b). The cylindrical guide (10) of thesupport body (7) is then guided by means of the spring element and alsolatches, as has already been described in variant 1, with the lugs (12)in the receiving regions (17) of the forehead support receiving element(2 a). The elastomer spring (9), in said variant, abuts against theabutment face (19) in the support body (7). The spring excursion (24) isdefined by the abutment face (19) and by the chosen length of thereceiving regions (17).

FIG. 10 shows a further embodiment for positioning a forehead support ofa patient interface (1) by means of a spring element (9). Thecorresponding individual parts are shown in FIGS. 11 to 13. Forassembly, the spring element (9) is linked into the receiving region (2b) of the receiving element (2 a) by means of a plate (9 a) and anundercut (9 b). The spring element (9) has on the opposite end acentering element (9 f) which is inserted into the opening (14) in theabutment face (19) of the support body (7) and prevents the springelement (9) moving sideways or slipping in the support body.

The connecting webs (2 c) between the mask body (2) and the receivingregion of the forehead support (2 a) are configured such that theypreferably make compression possible and as a result widen the receivingregion (2 a) and enable the mounting of the support body (7).

For mounting, the two connecting webs (2 c) are compressed and thesupport body is clicked into the opening of the receiving element (2 a).In this case, the centering element (9 f) of the spring element (9) hasto be positioned correctly in the opening (14). It is ensured that thesupport body (7) is rotationally fixed as a result of guide elements inthe form of a shoulder (11) on the circumference of the spring elementreceiving means (10) of the support body (7) and chamfers (2 d) in thereceiving means (2 a).

The plate (10 a) on the support body (7), which, in the mounted state,lies in front of the receiving element of the support body (2 a), formsa stop in the direction of the patient at that location. The adjustingpath of the support body is defined by the abutment of the springelement (9) in the support body (7) and by the length of the springelement receiving element (10) on the support body. The minimumadjusting point of the support body (7) with respect to the forehead ofthe patient is achieved when the plate (10 a) abuts at the front againstthe receiving element of the support body (2 a). The maximum adjustingpoint of the support body (7) is achieved when the receiving element (2a) abuts against the support body (7).

FIG. 13 shows the spring element as an elastomer spring (9). Theelastomer spring (9) has an axis (23) in the longitudinal directionthereof. Force is always applied in the direction of the axis (23). Theelastomer spring (9) obtains its function as a result of the arrangementof the struts (9 c) and relief cuts (9 h, 9 i). When pressure is appliedonto the spring element (9), the angle in the relief cuts (9 h, 9 i) isaltered and the spring element becomes shorter. The different reliefcuts here (9 h, 9 i) in each case form a spring space. In this case thegeometry is chosen such that the relief cut (9 i) is softer andconsequently deflects immediately when force is applied onto the springelement. The relief cut (9 h), as a result of the geometry thereofdeviating from the relief cut (9 i), is harder and consequently does notdeflect fully until after the relief cut (9 i). In principle, the springcharacteristic can be influenced as a result of the geometry and shapeof such relief cuts (9 h, 9 i).

FIGS. 14 and 14 a show the spring element which has, at right angleswith respect to the axis (23), a first part region (9 h), in this caserealized as a result of the relief cut as a square geometric recess,with a first characteristic which, in this case, is realized as a higherspring constant or as a harder portion. A second part region (9 i) isrealized away from the location of the first part region, in this caseas a result of the relief cut as a triangular geometric recess (with arounded base), which has a second characteristic. The secondcharacteristic, in this case, is realized as a lower spring constantthan in the first part region, or as a softer portion of the springelement.

FIG. 14 shows a side view of the spring element with the axis (23) whichdivides the spring element into a top half (9 o) and a bottom half (9u). The top half (9 o) and the bottom half (9 u) of the spring element,in this case, provide a first part region and a second part region. Withreference to the axis, the top half is developed differently to thebottom half The spring element is consequently not structuredsymmetrically. The spring element has a first part region (9 o) with afirst characteristic at right angles with respect to the axis (23) and asecond part region (9 u) with a second characteristic at right angleswith respect to the first part region and with respect to the axis (23).In the present case, elevated x-shaped structures which make the springelement relatively more rigid here than in the second part region (9 u),can be seen in the first part region (9 o). There are no stiffeningelements or elevations to be seen in the second part region (9 u), whichis why the spring element bends downward toward the second part region(9 u) when force is applied in the direction of the axis (23). This isutilized for the installation position of the spring element in thereceiving element (2 a, 10). The second part region (9 u) is arranged inthe receiving element such that it is able to be supported against thewall of the receiving element of the spring element. The first partregion (9 o) can consequently be developed so as to be accessible fromoutside and without guidance through the receiving element of the springelement. This provides advantages during cleaning of the PI.

If one also looks at the part regions (9 h, 9 i), the spring element hasat least two part regions. In the present case, the spring element hasat least four part regions (9 h, 9 i, 9 o, 9 u).

FIGS. 15a and 15b show the adjusting path or spring excursion (24) ofthe support body (7) which is defined by the stop (10 a).

The following can apply to all the embodiments of the invention:

The spring element which at right angles with respect to the axis (23)has a first part region (9 h), in this case produced as a result of therelief cut as a square geometric recess, with a first characteristic,which is realized in this case as a higher spring constant or as aharder portion. A second part region (9 i) is realized away from thelocation of the first part region, in this case as a result of therelief cut as a triangular geometric recess (with a rounded base), whichhas a second characteristic. The second characteristic, in this case, isrealized as a lower spring constant than in the first part region, or asa softer portion of the spring element.

The first and second part regions of the spring element can also belocated opposite one another, the first part region having a higherdegree of rigidity or spring constant than the second part region.

A part region can have a higher degree of rigidity or spring constant asa result of geometric structures (such as, for example, ribbing,contour, open contour and closed contour).

A part region can have a higher degree of rigidity or spring constant asa result of different materials (for example different Shore hardnesses,within the range of Shore A 20-80, joined using a two-component method).

A part region can have a higher degree of rigidity or spring constant asa result of different wall thicknesses.

The following also can apply to all embodiments of the invention: Therestoring force of the spring element (9, 9′) and the restoring force ofthe forehead support pad (8) are designed such that, when the harness ofthe patient interface (1) is placed in position/tightened, the foreheadsupport pad (8) first of all adapts to the shape of the face of the useror to the forehead of the user and only then with increasing tighteningforce of the harness is the spring element (9, 9′) gradually compressed.By means of the tightening force of the harness, which the user adjustshimself and consequently determines, said user thus determines theposition of the patient interface in relation to the forehead andconsequently the inclination of the patient interface on the face.According to the present invention, it is also possible to design therestoring force of the spring element (9, 9′) and the restoring force ofthe forehead support pad (8) to be approximately the same or to designthe restoring force of the forehead support pad (8) such that the springelement is compressed first of all. According to the present invention,it is also provided that the spring element (8, 9, 9′) is formed by theforehead support pad. According to the present invention, it is alsoprovided that the spring element (8, 9, 9′) has different springcharacteristics.

To ensure this, in an advantageous manner no latching stages areprovided. The particular advantage for the user is the stepless fineadjustment resulting from the automatic adjustment of the foreheadsupports. However, it is also possible to provide at least one latchingstage which is, however, able to be overcome as a result of anadditional application of force.

As a result of the equilibrium of forces between the tightening force ofthe head harness and the restoring force of the spring element of theforehead support, optimum and fault-free adaptation is ensured at alltimes, even if the patient changes his position when asleep.

It has been established in a surprising manner within the framework ofthe present invention that, in the case of a patient interface of thetype according to the invention, a narrowly defined adjusting region,which corresponds substantially to the spring excursion, is sufficientfor the support body to cover approximately 90% of patient faces. Thespring excursion (24) of the spring element (8, 9, 9′) consequently liesin the case of all the variants in the range of from 5 mm to 30 mm, 7 mmto 17 mm, in a preferred manner from 8 mm to 15 mm and in a particularlypreferred manner from 9 mm to 14 mm. The spring excursion of the springelement (9, 9′) can also be about 12 mm.

It has been established in a surprising manner within the framework ofthe present invention that, in the case of a patient interface of thetype according to the present invention, a narrowly defined springconstant of the spring element is sufficient to provide precise fittingand pleasant support to approximately 90% of patients.

The spring constant of the spring element (8, 9, 9′) is within the rangeof from 0.1 to 2.0 N/mm and in a preferred manner from 0.1 to 1.0 N/mm,or also from 0.1 to 0.5 N/mm; a range from 0.15 to 0.3 N/mm is alsoconceivable.

REFERENCE NUMERALS

-   1 Patient interface-   2 Mask body-   2 a Receiving element of the support body-   2 b Receiving region for the spring-   2 c Connecting webs-   2 d Chamfers-   3 Mask bead-   4 Hose coupling-   4 a Rotary sleeve-   5 Receiving device for the harness on the mask body-   6 Harness receiving element—forehead support carrier-   7 Support body-   8 Forehead support pad-   9 Spring element-   9 a Thickening, plate on spring element-   9 b Undercut on spring element-   9 c X-shaped spring structure-   9 d Relief cut-   9 e Struts between the X-forms-   9 f Centering element-   9 g Reinforcement of the X-shaped spring structure-   9 h, 9 i Part regions of the spring element-   9 o, u Part regions of the spring element-   9′ Spring element, compression spring-   10 Cylindrical guide/spring receiving means-   10 a Stop plate-   11 Guide element-   12 Lugs-   12 a Webs-   13 Slots-   14 Opening for the spring element-   15 Abutment face for spring element in receiving element (2 a)-   16 Guide grooves-   17 Receiving regions-   18 Opening for spring element in receiving element (2 a)-   19 Abutment face for spring element in support body (7)-   20 Harness-   21 Velcro fastening-   22 Harness ends-   23 Axis-   24 Spring excursion

While the present invention has been described with reference toexemplary embodiments, it is understood that the words which have beenused herein are words of description and illustration, rather than wordsof limitation. Changes may be made, within the purview of the appendedclaims, as presently stated and as amended, without departing from thescope and spirit of the present invention in its aspects. Although thepresent invention has been described herein with reference to particularmeans, materials and embodiments, the present invention is not intendedto be limited to the particulars disclosed herein; rather, the presentinvention extends to all functionally equivalent structures, methods anduses, such as are within the scope of the appended claims.

What is claimed is:
 1. An adjusting device for a patient interface thatis fixed on the head of a patient by a head harness, wherein the devicecomprises at least one harness receiving element, a support body forsupporting the patient interface in a region of the forehead of thepatient and a single spring element which contacts the support body atleast in a compressed state, wherein a tightening force of the headharness is transmitted to the spring element by the at least one harnessreceiving element such that the spring element is at least partiallycompressed to thereby exert a force which presses the support bodyagainst the forehead of the patient, and wherein the support bodyengages at least in part in a horizontal receiving element of a maskbody and the spring element in a mounted state is present in part in thereceiving element and in part in a guide to thereby be covered over itsentire length.
 2. The device of claim 1, wherein the support bodyengages at least in part in a horizontal receiving element of a maskbody.
 3. The device of claim 1, wherein on an outside the guide has lugswhich are arranged in a resilient manner on webs, and, when the supportbody is mounted, engages with the lugs into a receiving region of thehorizontal receiving element and latches there.
 4. The device of claim3, wherein the receiving element comprises receiving regions and acylindrical guide of the support body is guided by the spring elementand is latched by lugs in the receiving regions of the receivingelement.
 5. The device of claim 1, wherein guide elements which engagein corresponding guide grooves of the receiving element are situated onan outside of the spring receiving element for non-rotatable mounting.6. The device of claim 1, wherein the receiving element is cylindricaland comprises an abutment face for the spring element on one endthereof.
 7. The device of claim 6, wherein the spring element isinserted at least in part into an opening of the receiving element and aface of the spring element lies in an undercut and is thereby held inthe opening of the receiving element.
 8. The device of claim 1, whereinthe spring element abuts against an abutment face in the support body.9. The device of claim 1, wherein the spring element comprises strutswhich are arranged in an X-shaped manner.
 10. The device of claim 1,wherein a spring element constant of the spring element ranges from 0.1to 2.0 N/mm.
 11. The device of claim 1, wherein a characteristic curveof the spring element is approximately linear.
 12. The device of claim1, wherein a characteristic curve of the spring element has multiplestages as a result of being made of at least two different elastomermaterials.
 13. The device of claim 1, wherein a characteristic curve ofthe spring element has multiple stages as a result of differentgeometries or geometric recesses inside the spring element.
 14. Thedevice of claim 1, wherein the spring element exhibits a springexcursion within a range of from 7 mm to 30 mm.
 15. The device of claim1, wherein the spring element is not surrounded by guide elements in atleast one region and is thus accessible for cleaning.
 16. The device ofclaim 1, wherein the spring element comprises at least two differentregions.
 17. The device of claim 16, wherein the spring elementcomprises a first region with a first characteristic at right angleswith respect to an axis thereof and a second region with a secondcharacteristic at right angles with respect to the first region and withrespect to the axis.
 18. The device of claim 17, wherein the firstcharacteristic is different from the second characteristic.
 19. Thedevice of claim 1, wherein the spring element comprises a first and asecond region which are located opposite one another, the first regionexhibiting a greater degree of rigidity than the second region.
 20. Thedevice of claim 19, wherein the first region exhibits a greater degreeof rigidity than the second region due to geometric structures and/ordifferent materials and/or different wall thicknesses which are presentin the first and second regions.
 21. The device of claim 1, wherein thesupport body comprises a separate forehead support pad for contact withthe forehead of a patient.